How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $69.18 Median $144.54 Typical High $323.59 | Facility | None | $69.18 | $144.54 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $70.79 | Professional | None | $51.29 | $52.48 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $208.93 Typical High $316.23 | Facility | None | $74.13 | $208.93 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $47.86 Typical High $144.54 | Professional | None | $29.51 | $47.86 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $83.18 Typical High $218.78 | Facility | None | $37.15 | $83.18 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $51.29 Typical High $100.00 | Professional | None | $32.36 | $51.29 | $100.00 |
Denver HMP Setting Facility Modifier None Typical Low $52.48 Median $63.10 Typical High $87.10 | Facility | None | $52.48 | $63.10 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $100.00 Typical High $269.15 | Professional | None | $56.23 | $100.00 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $144.54 | Facility | None | $69.18 | $128.82 | $144.54 |
Select Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $69.18 | Professional | None | $48.98 | $48.98 | $69.18 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $51.29 | Professional | None | $29.51 | $29.51 | $51.29 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.30 Typical High $35.48 | Professional | 52 · Reduced service | $25.70 | $26.30 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $14.13 | Professional | 53 · Discontinued | $10.23 | $10.47 | $14.13 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 20th of 51
$69.18
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.